TREASURY DIVISION
APPLICATION FOR CERTIFICATE OF TAX LIENS
AND OTHER CHARGES
FEE: $20.00
- Make checks payable to Charles County Government
Instructions:
1.
Print or type legibly
2.
Original Tax Lien Certificate is required.
3.
There is a $20.00 fee for each individual Lien Certificate. (The fee is due at the time of recoding and must be along with the
completed Lien Certificate.)
4.
Each property number needs its own individual Tax Lien Certificate filled out.
5.
This office is not responsible for errors due to improper or incomplete description or account number. Please write in the
spaces provided the exact information as recorded on the books of the Supervisor of Assessments. Prepare a separate
application for each property that is separately assessed.
6.
You can either mail, drop off or fax the Lien Certificate in. (Please make sure to check the appropriate box indicated on the
right side of whether it is to be held for pick up, mailed, faxed or emailed
Mail To:
Charles County Treasury Division
OR
Return To:
Charles County Treasury Division
P.O. Box 2607
Charles County Government Building
La Plata, MD 20646
200 Baltimore Street, Room 148
OR
Fax: (301) 645-0704
La Plata, MD 20646
Current Real Property Number:
Name of Current Owner:
Premise Address:
Expected date of settlement:
APPLICATION IS HEREBY MADE FOR A CERTIFICATE OF THE STATUS OF LIENS ON THE DESCRIBED PROPERTY
Name of Applicant:
Hold for Pick Up
Mailing Address:
Mail
City, State, Zip Code:
Fax/Email
Phone Number:
___________________________
Signature:
Date:
FOR OFFICE USE ONLY
PROPERTY NUMBER:
DATE COMPLETED:
st
nd
REAL ESTATE TAX: Full Year
1
installment:
2
installment:
IF CHECKED, PLEASE CONTACT APPROPRIATE OFFICE:
Town of Indian Head (301) 743-5511
Town of La Plata (301) 934-8421
State Department of Assessment & Taxation (301) 932-2440
Water/Sewer: Final Reading (301) 645-0624 OR FINAL DUE: ___________
Deed Specialist Initials: